Program Desa Wisata Aman dan Sehat: Edukasi Penolong Pertama Wisata Pulau

ABSTRAK Kegawatandarutan bisa terjadi dimana saja terutama wisata pulau. Tujuan pengabdian kepada masyarakat untuk meningkatkan pengetahuan pertolongan pertama masyarakat wisata pulau. Metode pelaksanaan pengabdian kepada masyarakat adalah penyuluhan tentang pertolongan pertama wisata pulau kepada masyarakat Desa Lemukutan Kecamatan Sungai Raya Kepulauan. Hasil pengabdian kepada masyarakat didapatkan data terjadi peningkatan pengetahuan masyarakat sebelum dan setelah penyuluhan kesehatan tentang pertolongan pertama wisata pulau. Peningkatan pengetahuan masyarakat tentang pertolongan pertama menjadi upaya penanganan kegawatdaruratan di Pulau Lemukutan. Kata Kunci: Pertolongan pertama, Pengetahuan, Edukasi ABSTRACT The emergency condition can occur anywhere, especially island tourism. The purpose of community service was to increase the knowledge of first aid for island tourism communities. The method of implementing community service is counseling about island tourism first aid to the people of Lemukutan Island, Sungai Raya Islands District. The results of community service showed that there was an increase in community knowledge before and after health counselling about island tourism first aid. Increasing public knowledge about first aid in an effort to handle emergencies on Lemukutan Island. Keywords: First Aid, Knowledge, Education

Weaves of Wellness: Exploring the Experiences of Wellness and Imbalance in Indigenous Youth

This research, which takes place on Treaty 6 lands and involves an Indigenous and decolonized worldview, stems from a personal and professional exploration of what it means for me to be Indigenous. Using a Metissage research sensibility (Hasebe-ludt, Chambers, & leggo, 2009), the research weaves my own experiences in relation to the research participants, and in relation to the land, and other living and non-living beings. The purpose of this study is to better understand the emotional, spiritual, physical, and mental experiences of wellness and imbalance in Indigenous youth in public high schools, and to foster an understanding of the Medicine Wheel. This research ultimately asks, how do the experiences of youth fit within the Medicine Wheel? Participants will share their experiences of wellness and imbalance through storying, sharing circles, art, with the researcher using reflective journaling to reflect on the experience of listening. These stories will be audio or visually recorded. Participants will then place their experiences onto the Medicine Wheel into one or more of the four areas. Given that education and health systems are colonial tools oppression (Stewart, Moodley, and Hyatt, 2017), this research hopes to provide school staff, teachers, therapists, counsellors, health professionals and others with ways to meet the needs of Indigenous youth, in consideration of the Medicine Wheel and the Metissage conceptual trope. Hasebe-ludt, E., Chambers, C. M., & Leggo, C., 2009. Life writing, and literary Metissage as an ethos for our times. Peter Lang Publishing. Stewart, S. L., Moodley, R. & Hyatt, A. (2017). Indigenous cultures and mental health counselling. Four directions for integration with counselling psychology. Routledge.

Effectiveness of a digital health intervention with a smartband and counselling App in gestational weight gain and physical activity in pregnant women with obesity (PAS & PES study): a randomised controlled trial (Preprint)

BACKGROUND Obesity during pregnancy is a public health problem in our society. Pregnant women with obesity with excessive gestational weight gain (GWG) present a higher probability of presenting maternal and perinatal complications. The use of mobile Apps and a wristband during pregnancy may contribute to promoting healthy lifestyles and, thus, improving maternal and neonatal health. OBJECTIVE The objectives were to evaluate the effectiveness of the use of a smartband and an App with health counselling together with virtual support from a midwife in relation to GWG and physical activity (PA) in pregnant women with pre-pregnancy obesity and analyse the impact on maternal and perinatal outcomes. In addition, we studied the frequency of use, usability and satisfaction with the mobile Apps used by the women in the intervention group (IG). METHODS This parallel 2-arm randomised controlled trial included 150 pregnant women with obesity. The IG received a complex combined digital intervention called Pas & Pes. The intervention was delivered with a smartband (Mi band 2©) linked to the App Mi Fit© plus personalised health information and 24h/day midwife support through another App (Hangouts ©). Women in the control group (CG) only received standard antenatal care. The Spanish version of the International Physical Activity Questionnaire Short Form (IPAQ-SF) and the System Usability Scale (SUS) were used. Satisfaction was measured in a 1-5 point Likert scale. RESULTS We analysed 120 pregnant women; 30 have been withdrawn due to the COVID-19 pandemic. The mean GWG in the IG was 7 kg (Q1=4-Q3=11) vs. 9.3 kg (Q1=5.9-Q3=3.3) in the CG, P=.04. At the end of the study, the adjusted mean weight gain per week was 0.500 kg/week (95% confidence interval [CI]: 0.41 to 0.58) for the CG and 0.350 kg/week (95%CI: 0.27-0.43) for the IG.Between gestation weeks 35-37, the women in the IG performed greater mean PA than the GC (1,980 metabolic equivalent of tasks [METs]-min/week vs. 1,386 METs/min-week, respectively; P=.01). No differences were observed between study groups in the incidence of maternal and perinatal outcomes. In the IG, 61% (36) of the pregnant women used the smartband daily, and 74.6% (44) evaluated the usability of the Mi Fit© App as excellent. The grade of satisfaction with the health counselling and virtual midwife support through an App obtained a mean score of 4.8 (SD: 0.6) points. CONCLUSIONS The use of a smartband and a health counselling App together with virtual midwife support and standard prenatal controls were effective for obtaining a lower GWG and increasing the performance of PA in pregnant women with obesity. CLINICALTRIAL This trial was registered in the Clinical Trial Register of the National Library of Medicine of United States (NCT03706872).

Addressing the mental health needs of adolescents in South African communities: a protocol for a feasibility randomized controlled trial

Background Like many low- and middle-income countries, almost half of the proportion of the South African population is under the age of 25. Given the peak age of onset for most mental health problems is in adolescence, it is vital that adolescents have access to mental health counselling. There are several initiatives to increase access to mental health counselling in South Africa, primarily through the integration of counselling for common mental disorders (CMD) into primary health care services, but adolescents (15–18 years of age) generally do not utilize these services. To address this gap, we will undertake a study to explore the feasibility of conducting a trial of the effectiveness of a community-based mental health counselling intervention for adolescents at-risk for a CMD. Methods The study is a feasibility trial of the ASPIRE intervention, a four-session blended multi-component counselling intervention adapted for South African adolescents at risk for depression and alcohol use disorders. We will enrol 100 adolescents from community settings and randomly assign them to the ASPIRE intervention or a comparison condition. Feasibility measures, such as rates of recruitment, consent to participate in the trial and retention, will be calculated. Qualitative interviews with participants and counsellors will explore the acceptability of the intervention. The primary outcomes for a subsequent trial would be reductions in symptoms of depression and days of heavy drinking which will be measured at baseline, 6 weeks, and 3 months post-randomization. Discussion This feasibility trial using a mixed-methods design will allow us to determine whether we can move forward to a larger effectiveness trial of the ASPIRE intervention. Trial registration The trial is registered with the Pan African Clinical Trials Registry (PACTR20200352214510). Registered 28 February 2020—retrospectively registered, https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=9795

Task Sharing or Task Dumping: Counsellors Experiences of Delivering a Psychosocial Intervention for Mental Health Problems in South Africa

Given task-sharing mental health counselling to non-specialist providers is a recognised strategy to increase service capacity, ensuring that their training, supervision, and support needs are met is necessary to facilitate the sustainable delivery of a high-quality service. Using in-depth interviews, we qualitatively explored the experiences of 18 facility-based counsellors (FBCs) tasked with delivering a counselling intervention within chronic disease services offered within primary care facilities participating in the project MIND cluster randomised controlled trial. Findings show that project MIND training with a strong emphasis on role playing and skills rehearsal improved FBCs’ confidence and competence, complemented by highly structured supervision and debriefing provided by a registered counsellor, were key strategies for supporting the implementation of task-shared mental health counselling. FBCs perceived many benefits to providing mental health counselling in primary healthcare but systemic interventions are needed for sustained implementation.

Η φεμινιστική πολυπολιτισμική προσέγγιση της συμβουλευτικής ψυχολογίας

The feminist multicultural model has emerged from the feminist counselling approach. The feminist approach in counselling psychology, which was developed especially during the 1960’s and 1970’s, focused on individual solutions to human problems and did not place a great emphasis on other multicultural factors in therapy. By acknowledgingthe influence of multiculturalism on people’s mental health, counselling psychology started to gradually pay more attention to the relationship between individuals and their environment and considered the culturalenvironment as a major influencing factor in the shaping of identity but also in the nature of problems faced. At the beginning, this multicultural dimension was included very often unevenly in the feminist therapy.Recently, we see an effort to integrate these two mainstreams towards the development of an integrated feminist multicultural therapeutic approach. This approach is based on the realization that, although intraditional therapies the emphasis has been intrapsychic and the main assumption was that man is responsible for his condition, more recent developments in the field of therapy acknowledge that peopledo not always have the same opportunities and cannot always be totally responsible for the adversities they face because any kind of oppression often reduces their power and limits their access to choices. This articlepresents the development of the model, the theoretical mainstreams, the principles and trends that reinforce this development and its impact on the therapeutic approach